Healthcare Provider Details

I. General information

NPI: 1831345131
Provider Name (Legal Business Name): MADALINA L MINDRUT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW 11TH ST STE E33
HERMISTON OR
97838-8604
US

IV. Provider business mailing address

600 NW 11TH ST STE E33
HERMISTON OR
97838-8604
US

V. Phone/Fax

Practice location:
  • Phone: 541-667-3740
  • Fax: 541-303-8743
Mailing address:
  • Phone: 541-667-3740
  • Fax: 541-303-8743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD228184
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.124948
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: